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Form Data Surveilans Posbindu PTM Tingkat Provinsi

N Kab Jml Tota


o /Ko h l
ta KEL/DESA Pos Sas DI SKRINING POSBINDU KIT
Ju
bin ara
mla SDM TERLATIH
du n
h
Desa
PK Jml
Berposb Baik Rusak
M h Bar Lam Tot Tot
indu % Ket
Des u a al al
Jumla Jml Jml NAKES KADER
a % % %
h h h (∑) (∑)
1 1
2 3 4 5 6 7 8 9 10 12 13 15 16 17 18 19
1 4

I. KENDALA
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II. SARAN

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Mengetahui ,
Kepala Dinas Kesehatan Provinsi
(.........................................................)
NIP

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